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Tobacco Retailer Education Program: In-depth Interviews to Inform the Development of Educational Materials
Pretesting of Tobacco Communications
OMB: 0910-0674
IC ID: 214141
OMB.report
HHS/FDA
OMB 0910-0674
ICR 201406-0910-011
IC 214141
( )
Documents and Forms
Document Name
Document Type
Discussion Guide_Final.docx
Instruction
Informed Consent Form_Final.docx
Other-Consent Form
Screener_Final.docx
Other-Screener Form
Stimuli_Fact Cards.pdf
Other-Stimuli Fact Cards
Stimuli_Variants.pdf
Other-Stimuli Variants
OMB Justification Memo Retailer Ed_Final.doc
OMB Justification Memo Retailer Ed
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Tobacco Retailer Education Program: In-depth Interviews to Inform the Development of Educational Materials
Agency IC Tracking Number:
CTP
IC Status:
New
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Instruction
Discussion Guide_Final.docx
No
Printable Only
Other-Consent Form
Informed Consent Form_Final.docx
No
Printable Only
Other-Screener Form
Screener_Final.docx
No
Printable Only
Other-Stimuli Fact Cards
Stimuli_Fact Cards.pdf
No
Printable Only
Other-Stimuli Variants
Stimuli_Variants.pdf
No
Printable Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Consumer Health and Safety
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
240
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Businesses or other for-profits
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
240
0
240
0
0
0
Annual IC Time Burden (Hours)
130
0
130
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
OMB Justification Memo Retailer Ed
OMB Justification Memo Retailer Ed_Final.doc
12/03/2014
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.